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Elderly parents

Why is there so much stigma around 'putting them in a home'?

235 replies

Sittingontheporch · 02/04/2024 13:07

Hi, I'm a frequent botherer of this board, but have changed username so I can be free with details and not worry about outing myself. And because the subject is one that makes me itchy with shame and fear of judgment, which is kind of the point of my query.

I feel there's so stigma and taboo around an elderly parent going into a home, an implied failure or dereliction of duty from the children. Phrases like 'never put me in a home', or 'they put her in a home', or 'I'd never let my parent go into a home'. As if it's akin to prison rather than being a measured shared decision around a situation.

Or am I paranoid?

Our situation is that my mother has advanced dementia and low-to-no mobility. She lives in a four-bedroom house about two hours drive from me and my brother (and an ocean away from my other sibling). She has always said that she wanted to move into a care home nearer to the two of us. Then when my father died, she said she wanted to stay in the house for a year with the full-time live-in carer that we had employed for him (it went up to two in his last months). It's now six months on and we've reached a crossroads. The house needs urgent adaptations to make it safe, plus a whole load of other things doing as it's falling apart. She says she wants to move and is even excited about it, but I don't know if she fully understands how much space, familiarity and her possessions she'll be giving up.

The three of us are agonising over the decision in rotation, especially the one who lives abroad. We've also had lots of 'helpful' suggestions from her friends, some of whom have told us that they're very upset by the move. Things like 'have you thought of moving her downstairs', 'have you thought of moving closer to her' etc, etc.

I think they're projecting as they wouldn't want to go into a home, but they're currently fit and well.

I just wish it didn't feel as if society judges it so negatively.

OP posts:
Sittingontheporch · 02/04/2024 22:05

I'm so glad I started this thread for two reasons. One, I'm so grateful to all those who've taken the time to reassure me and support me in this difficult process. Second, more importantly, we as a society have just got to talk about this as openly as possible. The more that the realities of care and the dilemmas that we'll all face as either the elderly or their carers or their offspring or their friends, the better. Especially given that an increasing proportion of elderly won't have children to make these decisions and advocate - we should all (whether we've children or not) work on the assumption that making such plans is our responsibility.

@NoBunnyHome writes so brilliantly:
Honestly, I think some of the stigma or judgement comes from the fact that the number of people who say they'd never burden their children with caring and the number of people who say they would care for a relative at home, far far outweigh the numbers that actually stick to either.

Both noble thoughts are far, far harder when the time comes and more often than not, require massive compromises.

This so perfectly encapsulates our weird double think from both perspectives.

@funnelfan very grateful to your sensitivity towards my feelings, but I'm fine re. the thoughts of the daughter (mrssunshine?) railing against her dad not looking after the grandmother. It's useful to hear this spelt out as it's what I kind of know already. Fortunately none of my mother's grandchildren are showing any such judgementalism. I think you articulate so well the mission creep of caring. It's never 'just' running a hoover round, picking up groceries or prescriptions. You've really articulated the realities and I hope someone reading this thread inclined to judgment will absorb your wisdom.

In reply to PP suggesting potential retirement flats, this maybe should have happened years ago but my mother can't do anything for herself. Part of the reason to move her is that we're inching towards one full-time carer not being enough. With my father, we had a live-in carer and then it needed two people to get him out of bed etc and I worry that the agency will start with, oh you need a relief carer in the afternoon and then two carers morning and evening etc, etc and then we ened up with two live-in. As well as being expensive, it was incredibly disruptive and chaotic. I was trying to explain to the 'friend' that the difference between living at home (with two carers, confined to two rooms, in a hospital bed, grab rails, ramps) and in a care home starts to become fairly academic.

As it is, every time my mother wakes the carer in the night, I end up dropping everything to go to relieve the carer for the afternoon. This isn't sustainable for my job/children/husband/sanity. She doesn't need someone with all her time, but when she needs someone she might need two. A care home has much more staff capacity.

OP posts:
Bonbonnes · 02/04/2024 21:23

Please don’t justify yourself. Most people have no idea what it’s like caring for an LO with dementia unless they’ve experienced it themselves. Just ignore those that judge .

Feckedupbundle · 02/04/2024 21:22

What an interesting thread. I think that some of the generation who are judgy about 'putting mum in a home' are often secretly resentful as they may have been in a position where they had to care for elderly relatives themselves,with no option of finding a suitable home for them. It's a case of 'well we had to do it,so should you '.
But the world was different then,as previously mentioned,care homes were often unregulated and unsuitable. A lot of families could live on one income,with the wife able to stay at home,look after the children and granny. ( And it pretty much always was the woman who had to do it).Not that it would have made the task any easier,just financially more doable.

Winter2020 · 02/04/2024 21:06

Your mum wants to move into a care home so you aren't "putting her in a care home" at all.

It is her choice and preference to move and you are suppprting her.

The people that just stopped by recently but haven't visited for more than a year are certainly not going to be part of her care or support network so I wouldn't take any notice of their opinion. How can their opinion be more important or valid than your mum's choice?

Snugglemonkey · 02/04/2024 21:05

My family are v different. We have had two generations move onto sheltered housing set ups while still well. Tbh, most of my family have died before 70. So they have not needed to move on to greater levels of care. My great gran made it to 92 though, still in her sheltered housing. Everyone who has gone in has loved it.

JenniferBooth · 02/04/2024 21:04

@EmmaEmerald I can not get DM to agree to a stairlift despite the fact she is a massive fall risk.

Very bad physically , bad mobility issues yet wont have a stairlift put in , cant hear yet refuses to even countenance a hearing aid. Cant get in and out of the bath yet doesnt want to explore changes to the bathroom (its too small and there is a wall between the toilet and the rest of the bathroom) Back in the 80s my dad (builder) wanted to knock the wall down between the toilet and the bathroom, DM objected with the "what if someone wants to go to the loo while someone is in the bath"
Forty years later she has physical problems and limited mobility and there is no turning circle for a hoist because the bathroom is too small Sits there crying in pain but refuses to go to see a doctor. Appointments have been booked but then she cancels at the last minute because she doesnt want to go. She walks downstairs backwards really slowly. Awful to watch. Asked me at Christmas to book a mobile hairdresser for a haircut in the spring then changed her mind again. Broke her hip in Sept 2022 and ended up in hospital but even that didnt change anything

florizel13 · 02/04/2024 21:04

Mmhmmn · 02/04/2024 20:47

Residential care is also about maintaining a mother-daughter relationship whereby she remains your mother and doesn’t become your patient/adult child.

Edited

So very true. I was not the best when I was the carer. Once I accepted I could be my dad's daughter again it was the best thing for us both

florizel13 · 02/04/2024 20:48

Some care homes are like 5 star hotels! Certainly not like prisons. I recently had to make the decision to put my beloved elderly father with dementia in one as we could no longer cope with him at home. I spent sleepless nights agonising whether to put him in the excellent council run one (he was a self funder) where the nursing care was excellent, or whether to go for the private one with cinema and bar, and sherry evenings, but which I did not think he would have been capable of appreciating but that to be honest I'd have loved to visit him in!! In the end, he suddenly went downhill and passed before I could make a final decision. It's so hard, but sometimes a nursing home is the best decision. Please don't feel bad.

Theraininspainfalls · 02/04/2024 20:48

romdowa · 02/04/2024 13:19

The stigma comes from a time when care homes didn't provide the best care and abuse was rife in them. A time before police clearance and proper training ect

Abuse is still rife. We hear about it all the time.

Mmhmmn · 02/04/2024 20:47

Residential care is also about maintaining a mother-daughter relationship whereby she remains your mother and doesn’t become your patient/adult child.

PropertyManager · 02/04/2024 20:44

StripeyDeckchair · 02/04/2024 20:09

You say she has advanced dementia, no-one I know has managed this at home. It reaches a stage when full time residential care is the only option to keep uour parent safe & well cared for.

It also removes the need to have extensive work done to the house which in all likelihood will upset & distress your parent.

Moving her closer to you & your sibling makes sense - it will be easier to check up on her & her care.

At the end of the day her friends do not have to manage your mothers care & atr likely to stop visiting as the dementia progresses.

Do what is best for your mother & you & your brother.

We managed to look after dad at home from the first stages to his last breath, with no outside help save the GP and district nurse, the latter mainly provisioning equipment.

Sadly at the end he had lost mobility and was doubly incontinent, but he still had some quality of life right up the the few weeks of active dying.

It was pretty hard, just me and mum looking after him, but I'm very proud we were able to give him what he very much wanted, to bi in his home right up to the end.

Wouldn't recommend doing it to anyone else though!

NoBunnyHome · 02/04/2024 20:39

Honestly, I think some of the stigma or judgement comes from the fact that the number of people who say they'd never burden their children with caring and the number of people who say they would care for a relative at home, far far outweigh the numbers that actually stick to either.

Both noble thoughts are far, far harder when the time comes and more often than not, require massive compromises.

All that any of us should hope for (I think) is someone that cares enough to make any deicsions with love. Which is exactly what it sounds like you are doing, OP.

foxandbee · 02/04/2024 20:34

funnelfan · 02/04/2024 18:42

It doesn’t matter what she was capable of prior to breaking her hip, it’s what she can do now.

My dad could have cooked her a meal at dinner time

And what about breakfast and lunch? Cups of tea and snacks? Who would do the food shopping plus toiletries and household items such as toilet roll and cleaning supplies?

ran the hoover round for her

who would clean the toilet and bathroom and kitchen? Wipe down the surfaces in the rest of the flat? Do her laundry? Do any necessary maintenance?

picked up prescriptions

who would order those prescriptions? Take her to the doctor for her check ups, and make sure she’s taking the medication at the right time and dose?

You have no idea.

Absolutely. Being a carer is hard, physically and mentally.

Moonshine5 · 02/04/2024 20:33

No one who really knows you would judge you, the others don't matter.
Are the opinions from people from other cultures as many cultures don't use homes.
Don't worry about what people say.

Albless · 02/04/2024 20:32

Saschka · 02/04/2024 13:45

Yep, it is something that is widely recognised in elderly care medicine - a distant family member, usually a son, visits at Christmas, discovers mum is not as well as she was when they last saw her in 2017, and drag her up to be hospital “because something must be done”.

Then you meet the daughter who has been doing all of mum’s personal care, and discover that this has been a steady and consistent decline over the past five years, fully investigated by GP and community geriatrician, and irreversible. Son storms for a bit then goes back home, daughter is left to pick up the pieces with mum’s new delirium from her pointless hospital admission.

That's interesting, because as a parish minister I have met the same distant family member, usually always a son. I usually meet him when he arrives the day before the parent's funeral, at the point when all the arrangements have been made by his DSis and DM. He then tries to have everything changed - including order of service, hymns, readings, eulogy, where the funeral tea is, who goes in which cars ...

Yep, I've met him several times.

JenniferBooth · 02/04/2024 20:29

mrssunshinexxx · 02/04/2024 19:13

@VelvetDragonfly obviously you know my nan and situation better than me 🤣🤣 cannot even be arsed arguing with you anymore you literally have no clue.

You said yourself you cant care for your nan Using the fact that you have 3 kids as the get out clause. The times ive seen a child free relative doing most of the grunt work because of this.

DISCLAIMER. not criticising all parents. Just the ones who like to dictate the emotional and physical labour of others.

MrsAvocet · 02/04/2024 20:19

funnelfan · 02/04/2024 19:44

I do care for my mum in her old age, which is why I have the perspective that I do. Seeing someone’s mobility in a care home when all they have to do is move between bed-bathroom-lounge does not mean they are safe to be at home on their own.

It’s likely your Nan does think she’d be fine in her flat with your dad “popping in” to help, but why not talk to the care home staff next time you’re there to ask them whether she’d be capable of being on her own.

btw, it wasn’t me that reported your post, I prefer to let post like that stand and make their own points, but I guess it wasn’t very nice for the OP seeing the very judginess she is trying to avoid.

Absolutely.
There is a huge difference between being "fine" when there are other people around* *24/7 and the environment has been designed for the needs of people with limited mobility etc, and being capable of looking after yourself in your own home. I found that out in a small way when I came home after a longish hospital stay a few years ago. I was desperate to get out and sure I didn't need the nurses help with anything any more. But when I got home and my DH was out at work and my teenage DC at school for long periods I realised quite how vulnerable I was without the safety net of being able to buzz for help if I did need it. Not to mention the boredom and loneliness. I didn't realise how much support I was getting in hospital - including from the company of other patients - until it wasn't there any more. At least it was only shortish term for me and my mobility was improving not worsening but it was a sobering experience nevertheless.

GOODCAT · 02/04/2024 20:19

It is far better for many people who need care to receive that care in a home where they can be waited on and have all their needs met.

There is no way that a relative with a full time job let alone dependent children can provide 24/7/365 care or even very much at all after 8 hours sleep, 8 hours of work and then life!

That is when the person who needs that level of care or anything vaguely resembling it really suffers as their needs cannot be met.

StripeyDeckchair · 02/04/2024 20:09

You say she has advanced dementia, no-one I know has managed this at home. It reaches a stage when full time residential care is the only option to keep uour parent safe & well cared for.

It also removes the need to have extensive work done to the house which in all likelihood will upset & distress your parent.

Moving her closer to you & your sibling makes sense - it will be easier to check up on her & her care.

At the end of the day her friends do not have to manage your mothers care & atr likely to stop visiting as the dementia progresses.

Do what is best for your mother & you & your brother.

funnelfan · 02/04/2024 19:44

mrssunshinexxx · 02/04/2024 19:08

@funnelfan no thanks I'll take her for her word. I visit weekly / twice weekly and see her mobility. Leaving this thread now.
Not proving anything to the OP everyone's situation is different. I'd of done anything to care for my mum in old age so I come at this from a very different view point to most.

I do care for my mum in her old age, which is why I have the perspective that I do. Seeing someone’s mobility in a care home when all they have to do is move between bed-bathroom-lounge does not mean they are safe to be at home on their own.

It’s likely your Nan does think she’d be fine in her flat with your dad “popping in” to help, but why not talk to the care home staff next time you’re there to ask them whether she’d be capable of being on her own.

btw, it wasn’t me that reported your post, I prefer to let post like that stand and make their own points, but I guess it wasn’t very nice for the OP seeing the very judginess she is trying to avoid.

camelfinger · 02/04/2024 19:29

Agree with other posters that negative connotations were from years gone by, and often there’d be little jokes about putting someone in a home if they became a bit difficult. But I think most people don’t understand what it’s like to care for someone with dementia or someone with limited mobility.

Im glad I moved away from my home town so there’s no expectation that I’ll pop round to repair the house, cook meals or make appointments etc, let alone personal care and lifting. They’ll have to figure that out themselves. My parents also moved away from their home towns and ended up with all of their parents in care homes so I hope they will be fine with the same outcome if needed.

VelvetDragonfly · 02/04/2024 19:25

mrssunshinexxx · 02/04/2024 19:13

@VelvetDragonfly obviously you know my nan and situation better than me 🤣🤣 cannot even be arsed arguing with you anymore you literally have no clue.

It's obvious I know the law better than you and can see your Dad has done nothing wrong here. You are the one who literally has no clue - about people's autonomy, which includes your Dad and your Nan, if she's capable.

You're exactly the sort of judgemental person OP is posting about. Angry because you want a particular outcome but don't want to provide the work involved in achieving that yourself. Berating someone else, your Dad, who has chosen to maintain control over his own life instead of doing what you want.

EmmaEmerald · 02/04/2024 19:14

@lotsofdogshere Just in case it helps you

Mum gave me third party access to her bank account. It means I can pay for her shopping etc without the faff of her trying to pay me back. I can withdraw cash for her as she prefers it for her cleaner and occasional coffee trips woth friends.

When she went in respite care, and had a stairlift fitted in order to come home, it was a lifesaver, as I could not have paid for those things from my own money.

It was easy to set up but all correspondence goes to mum, because she's the account holder. So my account card etc got sent to her home address. I appreciate this might not work if your DDs live any distance away.

She has total control of the account still, which I think doesn't happen under LPA but I don't know because I've not yet used it for her bank.

mrssunshinexxx · 02/04/2024 19:13

@VelvetDragonfly obviously you know my nan and situation better than me 🤣🤣 cannot even be arsed arguing with you anymore you literally have no clue.

Lampan · 02/04/2024 19:12

OP I haven’t read the full thread, only your posts. But just wanted to say that sometimes a home is the best thing. We agonised with my relative, but the dementia was so bad that eventually even a full time live in carer couldn’t manage, as my relative was completely unmanageable without at least 2 people present for personal care etc.
Don’t feel guilty. Sometimes the absolute best thing is for them to go live somewhere surrounded by people who are trained to help. It’s hard and utter shit but you’ll get to a point when you know it’s time, and life will be less stressful after that! Just take the time to research homes as there are good and bad ones.